| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E1390 |
Oxygen concentrator |
37,259 |
26,876 |
$904K |
| E0601 |
Cont airway pressure device |
14,443 |
11,714 |
$394K |
| E0466 |
Home vent non-invasive inter |
2,746 |
1,664 |
$394K |
| E0562 |
Humidifier heated used w pap |
11,176 |
9,288 |
$118K |
| E0431 |
Portable gaseous 02 |
21,920 |
15,760 |
$113K |
| A7030 |
Cpap full face mask |
3,872 |
2,818 |
$108K |
| A7034 |
Nasal application device |
3,452 |
2,606 |
$75K |
| A4604 |
Tubing with heating element |
4,069 |
3,012 |
$56K |
| A7031 |
Replacement facemask interfa |
3,623 |
2,563 |
$43K |
| A7032 |
Replacement nasal cushion |
2,445 |
1,816 |
$40K |
| E1392 |
Portable oxygen concentrator |
4,375 |
3,102 |
$31K |
| E0261 |
Hosp bed semi-electr w/o mat |
4,205 |
3,074 |
$29K |
| E0143 |
Walker folding wheeled w/o s |
1,701 |
1,333 |
$28K |
| E0570 |
Nebulizer with compression |
11,211 |
8,932 |
$28K |
| A7035 |
Pos airway press headgear |
4,376 |
3,231 |
$28K |
| E1130 |
Whlchr stand fxd arm ft rest |
3,521 |
3,089 |
$26K |
| E0470 |
Rad w/o backup non-inv intfc |
482 |
387 |
$24K |
| A7038 |
Pos airway pressure filter |
8,281 |
6,093 |
$19K |
| A7046 |
Repl water chamber, pap dev |
2,907 |
2,176 |
$14K |
| A7037 |
Pos airway pressure tubing |
3,111 |
2,291 |
$14K |
| A7033 |
Replacement nasal pillows |
785 |
593 |
$11K |
| E0260 |
Hosp bed semi-electr w/ matt |
1,308 |
934 |
$8K |
| E0149 |
Heavy duty wheeled walker |
856 |
667 |
$4K |
| E0630 |
Patient lift hydraulic |
552 |
390 |
$4K |
| E0156 |
Walker seat attachment |
781 |
604 |
$3K |
| E1260 |
Wheelchair lightwt foot rest |
360 |
277 |
$2K |
| E0184 |
Dry pressure mattress |
97 |
76 |
$2K |
| K0001 |
Standard wheelchair |
4,593 |
3,810 |
$2K |
| A7005 |
Nondisposable nebulizer set |
294 |
240 |
$1K |
| E1290 |
Wheelchair hvy duty detach a |
143 |
92 |
$1K |
| E0990 |
Wheelchair elevating leg res |
956 |
739 |
$1K |
| E0600 |
Suction pump portab hom modl |
49 |
37 |
$862.33 |
| A7039 |
Filter, non disposable w pap |
252 |
193 |
$520.97 |
| K0738 |
Portable gas oxygen system |
189 |
129 |
$468.67 |
| A6446 |
Conform band s w>=3" <5"/yd |
29 |
15 |
$449.02 |
| E0443 |
Portable 02 contents, gas |
94 |
50 |
$389.34 |
| A6402 |
Sterile gauze <= 16 sq in |
78 |
47 |
$339.80 |
| E2611 |
Gen use back cush wdth <22in |
35 |
16 |
$332.24 |
| A7036 |
Pos airway press chinstrap |
67 |
56 |
$317.76 |
| A6212 |
Foam drg <=16 sq in w/border |
21 |
12 |
$281.73 |
| E2601 |
Gen w/c cushion wdth < 22 in |
68 |
41 |
$190.51 |
| K0195 |
Elevating whlchair leg rests |
1,377 |
1,151 |
$91.48 |
| A7003 |
Nebulizer administration set |
210 |
169 |
$57.62 |
| E1353 |
Oxygen supplies regulator |
166 |
143 |
$31.46 |
| A7013 |
Disposable compressor filter |
228 |
193 |
$24.29 |
| A4616 |
Tubing (oxygen) per foot |
33 |
27 |
$0.16 |
| K0800 |
Pov group 1 std up to 300lbs |
79 |
72 |
$0.00 |
| A9279 |
Monitoring feature/devicenoc |
1,695 |
1,128 |
$0.00 |
| K0006 |
Heavy duty wheelchair |
16 |
13 |
$0.00 |
| K0003 |
Lightweight wheelchair |
200 |
175 |
$0.00 |
| A4615 |
Cannula nasal |
77 |
53 |
$0.00 |
| K0823 |
Pwc gp 2 std cap chair |
17 |
17 |
$0.00 |